tci Part B Insider - 2008 Issue 25

PHYSICIAN NOTES: Don't Submit Claims With Modifier KX to Medicare for Your Therapy Services

Plus: The OIG finds massive overbilling of some cancer drug units, demanding thousands back from providersLegislators may be playing political football with your pay, but until the physician pay fix is signed into law, physical, speech and occupational therapists face caps on their services for Medicare beneficiaries.Although H.R. 6331 would reinstate the therapy exceptions process that therapists have benefited from this year, the law is not yet in effect, so Medicare beneficiaries are limited to just $1,810 in occupational therapy services and a separate $1,810 cap for a combination of physical therapy and speech-language pathology...

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